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1548770092
JEAN CLINTON
SAN RAFAEL, CA
NPI
1548770092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ 13052)
Enumeration Date
2017-10-10
Last Update Date
2018-06-16
Business Address
JEAN CLINTON LPC
2370 KERNER BLVD
SAN RAFAEL, CA 94901-5546
Phone number: 602-376-8554
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Mailing Address
JEAN CLINTON LPC
2370 KERNER BLVD
SAN RAFAEL, CA 94901-5546
Phone number: 602-376-8554
Copy
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